Application For Housing Benefit, Local Housing Allowance And Council Tax Reduction - Carmarthenshire County Council Page 15
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32Part 5
About where you live
How many rooms are there in the building?
DO NOT TICK
Living
Bedrooms
Bed-sitting
Kitchen
Bathrooms Separate
Other
Total
Enter no. of rooms
Room
rooms
Toilet
rooms
Total rooms in property
No. of rooms used only
by tenant
No. of rooms shared
Do you have a spare room available as:-
No
Yes
a) you are in between fostering?
No
Yes
b) you have an adult son/daughter who is serving in the Armed Forces?
No
Yes
Do you/your partner have a carer who stays overnight on a regular basis?
No
Yes
If yes we may contact you for further information.
No
Yes
Do you use your home for business?
Do you have a main home somewhere else?
No
Yes
What is the address?
How much do you pay for this home?
If you pay rent to a private landlord do you have a tenancy agreement?
No
Yes
If yes, send us a copy. If no, please ask your landlord to complete form RA2 this is available on
request from Customer Service Centres or the Housing Benefit Office.
Please state period of notice (if applicable) necessary to end this tenancy.
Part 6
About Income Support, Income-Based Jobseekers Allowance,
Employment Support Allowance(IR), Pension Credit and
Universal Credit
You
Your partner
No
No
Are you or your partner
If yes state date awarded
If yes state date awarded
getting income support,
Yes
Yes
then go to part 11
then go to part 11
income based job seekers
allowance, employment
/
/
/
/
support allowance(IR), Pension
credit (Guarantee Credit) or
Universal Credit?
No
No
Are you or your partner WAITING
to hear about a claim for any of
Yes
When did you claim?
Yes
When did you claim?
the fore-mentioned benefits?
/
/
/
/
Pension Credit (Savings Credit)
No
No
Go to part 7
Go to part 7
Are you or your partner getting
Yes
Yes
Savings Credit?
15
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Parent category: Financial